Permit CITY OF TIGARD PLUMBING PERMIT
■ COMMUNITY DEVELOPMENT Permit it: PLM2021-00151
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/13/2021
T f r,A Ii 1) 9 Parcel: 2S102AD02200
Jurisdiction: Tigard
Site address: 8900 SW BURNHAM ST F14
Project: Burnham Business 8,Storage Subdivision: BURNHAM STORAGE PARK Lot: None
Project Description: Replace up to 10 feet of 3/4 inch galvanized water line under slab
Contractor: MEP PROS INC Owner: BURNHAM BUSINESS&STORAGE LLC
3901 SE NAEF RD 9500 SW BARBUR BLVD STE 300
PORTLAND, OR 97219 PORTLAND, OR 97219
PHONE: 971-328-7181 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Water Piping/DWV 04/13/2021 $56.29
Specifics: 1 12%State Surcharge- 04/13/2021 $8.70
Plumbing
Type of Use: COM 16 ea Minimum Fee Adjustment- 04/13/2021 $16.21
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Holly V De Were 0 Appli cati.ovt
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Applicati rr_ el - 2
VErBuilding Fixtures FOR OFFICE USE ONLY
CityofTigard APR y ) 9 Received /, yy� >�
g �'t' 1 C -� Date/By: QT 13J/202f Permit No.:I'4r//ZOZ1-Ooi'
• 13125 SW Hall Blvd.,Tigard,OR 97223
J(� Plan Review
Phone: 503.718.2439 Fax: 503.598.19RY'OF I KIARL1 Date/By: Other Permit No.:
Inspection Line: 503.639.4175 t Date ReadyBy: r r. ® See Page 2 for
i lllaGt) � II tt.�''//++ r� 1rpr'
Internet: www.tigard-or.gov
lI WING DI 1 ) LI! ' Notified/Method: Supplemental Information
' " ' • TYPE OF WOR b' EDUCE
❑New construction ❑Demolition For special information use checklist
Description I Qty. Ea. Total
®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
',' ATEGORY OF CONSTRUCTION SFR(1)bath 312.70
El1-and 2-family dwelling 10Commercial/industrial SFR(2)bath 437.78
IDAccessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:8900 SW Burnham St Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard OR 97223
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.:F14 I Project name:Burnham Business and Storage Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
SW Hall to SW Burnham. Storage facility is on left in fenced area. Rain drain connector 18.76
Go to office for access. Sanitary sewer(no.linear ft.:_) Page 2
Stone sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Replace up to 10 feet of 3/4 inch galvanized water line under slab. Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name:Focus Commercial Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:8900 SW Burnham St
Garbage disposal 25.02
City/State/ZIP:Tigard OR 97223 Hose bib 25.02
Phone:( 503E392927 Fax:( ) Ice maker 12.51
v ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:MEP Pros, Inc. DBA 1-800-Plumber+Air Pacific NW Medical gas(value:$_) Paget
Primer 12.51
Contact name:Chris Nguyen Roof drain(commercial) 12.51
Address:3901 SE Naef Rd Sink/basin/lavatory 25.02
City/State/ZIP:Portland, OR 97267 Solar units(potable water) 62.54
Phone:( 97)1-328-7181 Fax: :( ) Tub/shower/shower pan 12.51
E-mail:cnguyen@1800plumber.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:MEP Pros, Inc. DBA 1-800-Plumber+Air Pacific NW Waterpiping/DWV 1 56.29 56.29
Address:3901 SE Naef Rd Other: 25.02
City/State/ZIP:Portland OR 97267 subtotal
Phone:( 971).328-7181 Fax:( ) Minimum permit fee: $72.50 72.50
CCB Lie.:229559 Plumbing Lie,no.:PB2303 Plan review (25%of permit fee)
State surcharge(12%of permit fee) 8.70
Authorized signature. ' y..�r TOTAL PERMIT FEE 81.20
Print name: �i�f --"4/9/21 This permit application expires it's permit is not obtained within 180 days
tgr
�� �I after it has been accepted as complete.
*Fee methodology set by Tn-County Building Industry Service Board.
I?Building\Perrnits\PLMU-PermitApp.doc 10/01/09 440-46I6T(10/02'COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression S stems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit F `
Footing drain-l'100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001to 3,600 $169.69
3,601 01to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Feet -
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
Other Inspections or Fees and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
Additi(minional
um charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to =y�
accurately report fixtures could result in increased sewer fees*. .. PlaRevieW ftil - 1lati
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool ❑ New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thm
Water Aspirator El Medical gas and vacuum systems for health care facilities.
Cuspidor/Water
irator ❑ Any multipurpose fire sprinkler system.
-Commercial-Domestic 0 Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
-3" Isometric or Riser Diagram
0 Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2